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Get DD 149 1997

S S I G NE D B Y O T H E R T H A N A P P L I C A N T , I N D I C A T E R E L A T I O N S HI P O R S T A T U S B Y M AR K I N G A P P R O P R I A T E B O X . a. SPOUSE b. WIDOW c. WIDOWER d. NEXT OF KIN e. LEGAL REP f. OTHER (Specify) 1 3 . I M A K E T H E F O R E G O I N G S TA T E M E N T S , A S P A R T O F M Y C L A IM , W I T H F U L L K N O W L E D G E O F T H E P E N A L T I E S I N V O L V E D F O R WILLFULLY MAKING A FALSE STATEMENT OR CLAIM. (U.S. Code, Title 18, Sec. 287, 1001, p.

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